Why is a claim declined?05 December 2014 Back to results
The two most common reasons for declining a claim are:
- The claimant doesn't meet the definition - to have a valid claim under a critical illness contract, you must be suffering with one of the defined critical illnesses covered by your policy. You may also have to meet certain criteria.
- Misrepresentation of information at the application stage - if you haven’t completed the application form correctly and we become aware of medical information that would have affected the original underwriting decision, we may not be able to pay a claim.